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Contact Information

BEAUMONT MACOMB TOWNSHIP ASC, LLC
15979 HALL RD
SUITE 200
MACOMB, MI48044
 Phone: 586-247-5300
 Fax: 586-566-0581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for BEAUMONT MACOMB TOWNSHIP ASC LLC · (Female)

NPI Number 1184746463
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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